Organization Active NPI

Desjardins Management Inc.

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1609911569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DESJARDINS MANAGEMENT INC.
Practice address
420 Essex St
Lawrence, MA 01840-1214
Phone
(978) 682-4525
Fax
(978) 691-5069
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lilian Coralia Desjardins
Title
President
Phone
(978) 682-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MA Primary

Addresses

Primary practice location

420 Essex St
Lawrence, MA 01840-1214

Mailing address

420 Essex St
Lawrence, MA 01840-1214
Phone (978) 682-4525

Other names 1

  • Community Dentists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desjardins Management Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609911569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401214",
            "telephone_number": "978-682-4525",
            "fax_number": "978-691-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401214",
            "telephone_number": "978-682-4525",
            "fax_number": "978-691-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESJARDINS MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "CORALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-682-4525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.